Laserfiche WebLink
<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRIlILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE a..e b A '1-7l r ~t; '/ -1A.e- <br />OWNER'S ADDRESS 3.g? I ~ l vr: I; f1/' ~ <br />JOB ADDRESS '3 r 1 0 S C t/l::.-z..y /V W <br />LEGAL DESCRIPTION: LOT(S) :2 CJ BLOCK <br /> <br />PHONE <br /> <br />I <br />SUBDIVISION OMc!/tJ::')Z SU'.6IJlfJlS'fOW <br /> <br />PARCEL 1. D.' <br />WORK PROPOSED ~New Construction <br />_Sign <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~Addition <br />--1fove <br /> <br />---..Alteration _Repair _Install <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_Go.aercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval /; <br /> <br />DESCRIPTION OF WORK: Avl (}1I7'c 4!1u,,~'lfs.'j'"Lr~ <!bA~ <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />IC-sUILDING <br />_ELECTRICAL <br /> <br />PERMITS REOUESTED <br />$ ~ <7 7' () . t/D Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGIIAIflGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br />J-~lttIJ#1 Other <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />FIRlSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..........................**************** <br /> <br />BUn.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANYSTe helU~ +- <br />State Cert. or Regist. . <br />City License Registration . <br />*****************************.************ <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************.************************* <br /> <br />SimlAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************.************* <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />